Support WISO

I WISH TO MAKE THE FOLLOWING CONTRIBUTION TO WISO

 

$_______Benefactor ($100.00 or More)        $_______Patron ($50.00 or More)

$_______Friend ($25.00 or More)                 $_______Other Amount

Name____________________________________________________

Address__________________________________________________

Telephone__________________Email__________________________

Please Make Checks Payable To:  WISO

                                                           179 Anchorage Drive

                                                           West Islip, NY  11795

Thank You For Your Kind Support!

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